Provider Demographics
NPI:1962917625
Name:DPSP HEALTHCARE DBA EVERYONE'S PERSONAL CARE AGENCY
Entity type:Organization
Organization Name:DPSP HEALTHCARE DBA EVERYONE'S PERSONAL CARE AGENCY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:THOMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-828-1832
Mailing Address - Street 1:860 RT. 168
Mailing Address - Street 2:SUITE 207
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012
Mailing Address - Country:US
Mailing Address - Phone:856-230-7770
Mailing Address - Fax:856-481-4068
Practice Address - Street 1:860 ROUTE 168 STE 207
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-3224
Practice Address - Country:US
Practice Address - Phone:856-230-7770
Practice Address - Fax:856-245-7351
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DPSP HEALTH CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-04
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ15180726OtherCHQH
NJ0718394Medicaid